Kentuckyone Health Medical Group, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KENTUCKYONE HEALTH MEDICAL GROUP, INC.

Practice address

1401 Harrodsburg Rd
Lexington, KY 40504-3751

Phone

(606) 330-7835

Fax

(606) 330-7825

NPI assigned

May 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carmel Jones

Title

Coo

Phone

(859) 313-1713

Specialties & licenses 14

Addresses

Other identifiers 9

Other names 1

• CHI Saint Joseph Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in KY, TX, GA, OH, DC, CA, OR, OK, NC, TN, FL, PA, MO, IL14 enrollments

Enrollment records 14

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Kentuckyone Health Medical Group, Inc.

  • Family Medicine Physician
  • Lexington, KY
  • NPI 1205101458

  O20031204000080

  Same enrollment
• Kentuckyone Health Medical Group, Inc.

  • General Practice Physician
  • Lexington, KY
  • NPI 1902238694

  O20031204000080

  Same enrollment

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Jewish Hospital & St. Mary'S Healthcare, Inc.

  • Community/Retail Pharmacy
  • Louisville, KY
  • NPI 1215356837

  Member Of

  NPD member

Locations (25 of 122)

Practitioners 377

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oluwole John Abe, MD

  • Clinical Cardiac Electrophysiology Physician
  • London, KY
  • NPI 1841269834

  Cardiovascular Disease, KY

  Medicare reassignment Care Compare group NPD
• Timothy Dean Adkins, MD

  • Urology Physician
  • Lexington, KY
  • NPI 1932203338

  KY

  Medicare reassignment Care Compare group NPD
• Majdi Lagili Al Dliw, M.D

  • Pulmonary Disease Physician
  • Lexington, KY
  • NPI 1790041069

  Internal Medicine, KY

  Medicare reassignment Care Compare group NPD
• Tamara Andrews, APRN

  • Family Nurse Practitioner
  • London, KY
  • NPI 1538859111

  KY, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Brittnee L. Angle, PA-C

  • Physician Assistant
  • Nicholasville, KY
  • NPI 1174042055

  KY, Physician Assistant

  Medicare reassignment Care Compare group NPD
• Hannah Archer, APRN, FNP

  • Family Nurse Practitioner
  • Lexington, KY
  • NPI 1629737721

  KY

  Medicare reassignment Care Compare group NPD
• Torey Arnett, ARNP

  • Acute Care Nurse Practitioner
  • Lexington, KY
  • NPI 1558024729

  KY

  Medicare reassignment Care Compare group NPD
• Jimmy Ausbrooks, LPCC -S

  • Mental Health Counselor
  • Lexington, KY
  • NPI 1750892527

  KY, Mental Health

  Medicare reassignment Care Compare group NPD
• Mohamed Shtiwi Ayan, MBBCH, MD

  • Interventional Cardiology Physician
  • Lexington, KY
  • NPI 1700219193

  Internal Medicine, KY

  Medicare reassignment Care Compare group NPD
• Amy Elizabeth Baker, D.O

  • Obstetrics & Gynecology Physician
  • Lexington, KY
  • NPI 1811377377

  KY

  Medicare reassignment Care Compare group NPD
• Collin E. Ball

  • Foot & Ankle Surgery Podiatrist
  • London, KY
  • NPI 1619166378

  KY

  Medicare reassignment Care Compare group NPD
• Sara Cornelison Ballard, APRN

  • Family Nurse Practitioner
  • Winchester, KY
  • NPI 1730877713

  KY

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1104875970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936",
            "telephone_number": "606-330-7835",
            "fax_number": "606-330-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043751",
            "telephone_number": "606-330-7835",
            "fax_number": "606-330-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKYONE HEALTH MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CARMEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "859-313-1713"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GROUP#",
            "identifier": "000000060604",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100200840 (LCSW)",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200434820A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100200870 (MD)",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100200890 (PA)",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100294690  (LMFT)",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100201000 (FPAS)",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100200880 (CRNA)",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78904851 (NP)",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHI Saint Joseph Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kentuckyone Health Medical Group, Inc.
• Kentuckyone Health Medical Group, Inc.
• Jill C Keogh, MSW, LCSW
• Alexandra Paige Keough, DNP
• Christian Kephart, LMT, CCT, ADS

• All providers in Lexington, KY
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.